Evidence mapPaperPMID 40448351Full record

ArticleJournal of primary care & community health

Barriers and Facilitators to the Implementation of a Health-Related Social Needs Screening and Referral Intervention in the Bronx.

Priya Elizabeth George, Jessica Haughton, Renee Whiskey, Samantha Levano, Hemen Muleta, Kevin P Fiori

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Implementing a Social Needs Screening and Referral Program for Obstetrics and Gynecology Patients.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Priya Elizabeth GeorgeAlbert Einstein College of Medicine, Bronx, NY, USA.ORCID 0000-0003-4286-7406
Jessica HaughtonAlbert Einstein College of Medicine, Bronx, NY, USA.ORCID 0000-0002-6555-3162
Renee WhiskeyMontefiore Medical Center, Bronx, NY, USA.
Samantha LevanoAlbert Einstein College of Medicine, Bronx, NY, USA.
Hemen MuletaAlbert Einstein College of Medicine, Bronx, NY, USA.ORCID 0000-0002-6439-952X
Kevin P FioriAlbert Einstein College of Medicine, Bronx, NY, USA.ORCID 0000-0003-1370-7366

Funding

Einstein-Montefiore Clinical and Translational Science Award HubUM1TR004400 · ALBERT EINSTEIN COLLEGE OF MEDICINE · 2025 to 2025
$4.3M
NCATS NIH HHS UM1 TR004400
6 · The paper itself

Abstract

objectiveThe Community Health Worker Institute (CHWI) addresses health-related social needs (HRSNs) by integrating Community Health Workers (CHWs) into patient care. This study explores the barriers and facilitators to HRSN referrals and the integration of CHWs within clinical teams.

methodsQualitative interviews were conducted with CHWs, CHWI program staff, and clinicians from ambulatory care clinics. Semi-structured interviews, guided by the Consolidated Framework for Implementation Research, were audio-recorded, transcribed, and analyzed using rapid qualitative methods.

resultsPreliminary findings found that while clinicians support the CHWI and referral program, time constraints during patient visits likely hinder effective screenings and referrals. CHWs are seen as valuable advocates but continue to face challenges due to confusion about their clinical role from patients and clinicians. Hierarchical power dynamics seen between providers and CHWs likely contribute to this confusion. Clinics with strong leadership, clear role delineation, and clinical site preparation appear to have better CHW integration.

conclusionCHWs play a crucial role in addressing HRSNs, but their integration into clinical teams requires overcoming logistical and educational challenges. These findings offer insights for improving the HRSN referral process and integrating CHWs into healthcare systems.

Indexed as

Community Health WorkersMass ScreeningReferral and ConsultationFemaleHumansInterviews as TopicMaleNew York CityQualitative Researchcommunity healthprimary carequalitative methodssocial determinants of healthunderserved communities

Identifiers

PMID40448351
PMCPMC12126658

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.